If you are human, leave this field blank.Reference InformationThis is part 4 of the application. Please make sure you have completed parts 1, 2 and 3 before proceeding.Name: *Full name as entered on part 1 of your application.Email: *Required again to receive confirmation.Name of NON-RELATIVE Reference: *Address:Apt, suite, etc.CountryUnited States (US)United Kingdom (UK)CanadaAustralia---AfghanistanÅland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAmerican SamoaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraÇaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqRepublic of IrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Martin (Dutch part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaWestern SamoaYemenZambiaZimbabweCityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)American SamoaGuamNorthern Mariana IslandsPuerto RicoUS Minor Outlying IslandsUS Virgin IslandsZip codePhone: *Relationship: *Please answer Yes or No to the following questions. If you answer "Yes" on any questions please give an explanation below in the space provided.Are there any outstanding judgments against you? *Yes (Applicant)No (Applicant)Yes (Co-Applicant)No (Co-Applicant)Have you been declared bankrupt within the past 7 years? *Yes (Applicant)No (Applicant)Yes (Co-Applicant)No (Co-Applicant)Have you had property foreclosed upon or given title or deed in lieu thereof in the past 7 years? *Yes (Applicant)No (Applicant)Yes (Co-Applicant)No (Co-Applicant)If YES, did the bankruptcy involve real estate & when will it be dismissed.Are you a party to a lawsuit? *Yes (Applicant)No (Applicant)Yes (Co-Applicant)No (Co-Applicant)Have you directly or indirectly been obligated on any loan that resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? (If “Yes,” please provide details & reasons below.) *This includes loans such as home mortgage loans, SBA loans, home improvement loans, educational loans, and manufactured (mobile) home loans, any mortgage, financial obligation, bond, or loan guarantee.Yes (Applicant)No (Applicant)Yes (Co-Applicant)No (Co-Applicant)Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee? (If “Yes,” give details.) *Yes (Applicant)No (Applicant)Yes (Co-Applicant)No (Co-Applicant)Are you obligated to pay alimony, child support or separate maintenance? *Yes (Applicant)No (Applicant)Yes (Co-Applicant)No (Co-Applicant)If, yes, what is the amount?Are you the co-maker or endorser on a note? *Yes (Applicant)No (Applicant)Yes (Co-Applicant)No (Co-Applicant)Have you ever been evicted or willfully or intentionally refused to pay rent when due? *Yes (Applicant)No (Applicant)Yes (Co-Applicant)No (Co-Applicant)Provide an explanation for any "Yes" answers to the above questions:Are you a U.S. citizen? *Yes (Applicant)No (Applicant)Yes (Co-Applicant)No (Co-Applicant)Are you a permanent resident alien? *Yes (Applicant)No (Applicant)Yes (Co-Applicant)No (Co-Applicant)Are you indirectly obligated on a home loan? *Yes (Applicant)No (Applicant)Yes (Co-Applicant)No (Co-Applicant)Have you had an ownership interest in a property in the last three years? *Yes (Applicant)No (Applicant)Yes (Co-Applicant)No (Co-Applicant)If yes, what type of property did you own?Principal Residence (PR)Second Home (SH)Investment Property (IP)If, yes, how did you hold title to the home?Solely by yourself (S)Jointly with your spouse (SP)Jointly with another person (O)Final SubmissionIn Part 2, the following documentation was requested: Your last two paycheck stubs Documentation of any other payments that you and/or your co-applicant receive such as social security, alimony, or disability payments A copy of your latest tax return (SSN# redacted or removed) Please confirm how you submitted them. Your application will not be complete until we receive them. Documentation Confirmation: *I sent the required documents via email. I mailed the required documents to TPM, P.O. Box 2437 Edmond, Oklahoma 73083-2437Acknowledge:Please check the box prior to submitting this form to acknowledge that the information you are providing is true and correct. Applicant - The information I am providing is true and correct.Co-Applicant - The information I am providing is true and correct.Submit